Organization Active NPI

The Tooth Fairies

  • Dental Hygienist
  • Sammamish, WA
National Provider Identifier
1205055035
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH00005026 Issued in WA
Legal business name
THE TOOTH FAIRIES
Practice address
2603 244TH Ave SE
Sammamish, WA 98075-9402
Phone
(425) 417-0630
NPI assigned
Apr 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. H Elise Tanner, RDH, BS
Title
Registered Dental Hygienist
Phone
(425) 417-0630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH00005026 WA Primary

Addresses

Primary practice location

2603 244TH Ave SE
Sammamish, WA 98075-9402

Mailing address

2603 244TH Ave SE
Sammamish, WA 98075-9402
Phone (425) 417-0630

Other identifiers 1

IdentifierTypeStateIssuer
5901095MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
The Tooth Fairies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205055035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 244TH AVE SE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759402",
            "telephone_number": "425-417-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 244TH AVE SE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759402",
            "telephone_number": "425-417-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TOOTH FAIRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "H ELISE",
        "authorized_official_title_or_position": "REGISTERED DENTAL HYGIENIST",
        "authorized_official_telephone_number": "425-417-0630",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH, BS"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH00005026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901095",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sammamish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.